Logan Elliott, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

27109 Issued in TN

Practice address

1330 Riverbend Dr Apt 104
Kingsport, TN 37664-4096

Phone

(276) 690-6674

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Associates of Kingsport, P. C.Group PAC ID 7113949801, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
• Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
• Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
• Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
• Lonesome Pine Hospital Hospital, Big Stone Gap, VA, CCN 490114

Merit-based Incentive Payment System (MIPS)

Final score

46.7 of 100Reported as group

Quality

53.78

Improvement activities

0

Cost

83.97

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urology Associates of Kingsport, P. C.

  • Urology Physician
  • Kingsport, TN
  • NPI 1184644932
  Medicare reassignment Care Compare group NPD
• Wellmont Medical Associates, Inc.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain States Health Alliance

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1992813240
  Care Compare affiliation
• Wellmont Hawkins County Memorial Hospital Inc

  • General Acute Care Hospital
  • Rogersville, TN
  • NPI 1174553598
  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Bristol, TN
  • NPI 1124058615
  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Kingsport, TN
  • NPI 1487690400
  Care Compare affiliation
• Wellmont Health System

  • General Acute Care Hospital
  • Big Stone Gap, VA
  • NPI 1801826912
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1730711029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 RIVERBEND DR APT 104",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 RIVERBEND DR APT 104",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376644096",
            "telephone_number": "276-690-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "LOGAN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Dentistry and Implants, PLLC
• Velma Janene Elkins, LPN
• Ellag, Inc.
• Claire Elliott, PHARMD
• Lizanne M Elliott, FNP
• Troy Vincent Elliott, BS
• Ellis Psychiatry, LLC
• David Lance Ellis, PT
• Melody Ellis
• Michelle Renee Ellis, RN

• Nurse Practitioner in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.